CPT 65430 pays $115.57 in a non-facility setting and $85.51 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $104.74 in Arkansas to $141.97 in Alaska, a 36% spread.
National non-facility rate
$115.57
Office and other outpatient settings
Hospital and ASC settings
Alaska
Arkansas · 36% spread
53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.
| State | Rate compared visually | Non-facility | Facility |
|---|---|---|---|
| Alaska | $141.97 | $109.95 | |
| District of Columbia | $129.98 | $94.56 | |
| California | $127.35 | $91.78 | |
| New York | $126.57 | $93.03 | |
| New Jersey | $126.41 | $92.56 | |
| Washington | $125.27 | $91.01 | |
| Massachusetts | $124.27 | $90.50 | |
| Hawaii | $122.81 | $88.63 | |
| Connecticut | $122.23 | $89.86 | |
| Colorado | $119.44 | $87.46 | |
| Florida | $119.26 | $89.10 | |
| Maryland | $119.20 | $87.86 | |
| Oregon | $118.36 | $86.70 | |
| Rhode Island | $118.19 | $87.14 | |
| New Hampshire | $117.74 | $86.44 | |
| Illinois | $116.92 | $87.87 | |
| Puerto Rico | $116.22 | $85.83 | |
| Virgin Islands | $116.22 | $85.83 | |
| Montana | $115.56 | $85.50 | |
| Nevada | $115.02 | $84.93 | |
| Pennsylvania | $114.94 | $85.49 | |
| Minnesota | $114.84 | $83.91 | |
| Delaware | $114.67 | $84.97 | |
| Wyoming | $114.61 | $84.55 | |
| Texas | $114.57 | $84.98 | |
| Georgia | $113.41 | $84.73 | |
| Virginia | $113.40 | $83.85 | |
| North Dakota | $113.38 | $83.32 | |
| Michigan | $113.15 | $84.93 | |
| South Dakota | $113.13 | $83.07 | |
| Vermont | $113.11 | $83.35 | |
| Arizona | $113.05 | $83.92 | |
| Maine | $111.34 | $82.62 | |
| Utah | $111.34 | $83.09 | |
| New Mexico | $110.98 | $83.42 | |
| Wisconsin | $110.33 | $81.53 | |
| Missouri | $110.23 | $82.64 | |
| Louisiana | $110.16 | $82.71 | |
| South Carolina | $110.14 | $82.37 | |
| Ohio | $110.02 | $82.57 | |
| North Carolina | $109.94 | $81.90 | |
| Indiana | $109.00 | $81.13 | |
| West Virginia | $108.75 | $82.63 | |
| Idaho | $108.50 | $80.84 | |
| Nebraska | $108.34 | $80.60 | |
| Kentucky | $108.14 | $81.41 | |
| Tennessee | $108.03 | $80.70 | |
| Iowa | $107.90 | $80.39 | |
| Oklahoma | $107.89 | $81.04 | |
| Kansas | $107.59 | $80.41 | |
| Alabama | $105.96 | $79.65 | |
| Mississippi | $105.69 | $79.81 | |
| Arkansas | $104.74 | $78.92 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates